| Weatherstone Collaborative Llc | |
|
323 Ebenezer Rd Knoxville TN 37923-5310 | |
| (865) 272-9709 | |
| Not Available |
| Full Name | Weatherstone Collaborative Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 323 Ebenezer Rd, Knoxville, Tennessee |
| Authorized Official Name and Position | Stephanie Swain Weatherstone (OWNER) |
| Authorized Official Contact | 8652729709 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Weatherstone Collaborative Llc 323 Ebenezer Rd Knoxville TN 37923-5310 Ph: (865) 272-9709 | Weatherstone Collaborative Llc 323 Ebenezer Rd Knoxville TN 37923-5310 Ph: (865) 272-9709 |
| NPI Number | 1023665247 |
|---|---|
| Provider Enumeration Date | 08/22/2019 |
| Last Update Date | 08/22/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023665247 | NPI | - | NPPES |
| 1821272444 | Other | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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